Individual provider Active NPI

Chistopher J Montana, D.C.

  • Chiropractor
  • Elizabeth, NJ
National Provider Identifier
1033323506
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC05636 Issued in NJ
Practice address
426 Morris Ave
Elizabeth, NJ 07208-3609
Phone
(908) 289-5336
Fax
(908) 289-8588
NPI assigned
May 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MC05636 NJ Primary

Addresses

Primary practice location

426 Morris Ave
Elizabeth, NJ 07208-3609

Mailing address

24 Cowie Rd
Chester, NJ 07930-2841
Phone (973) 955-4191

Other identifiers 1

IdentifierTypeStateIssuer
0047163MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC05636NJMDChiropractor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033323506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 COWIE RD",
            "city": "CHESTER",
            "state": "NJ",
            "postal_code": "079302841",
            "telephone_number": "973-955-4191",
            "fax_number": "908-289-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 MORRIS AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072083609",
            "telephone_number": "908-289-5336",
            "fax_number": "908-289-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTANA",
        "first_name": "CHISTOPHER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC05636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0047163",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.